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General NPI Number Information
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NPI Number | 1598991838
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Entity Type | Organization
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Legal Business Name | CENTER FOR METABOLIC AND BARIATRIC SURGERY LLC
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 10475 READING RD SUITE 117
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City | CINCINNATI
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State | OH
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Zip | 45241-2563
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Country | US
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Telephone | 513-559-1222
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Fax | 513-559-1235
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Provider Business Mailing Address
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Address Line | 10475 READING RD SUITE 117
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City | CINCINNATI
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State | OH
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Zip | 45241-2563
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Country | US
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Telephone | 513-559-1222
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Fax | 513-559-1235
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRACE W CURRY
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Credential |
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Telephone | 513-559-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35074062
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License Number State | OH
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